Full Name
Email
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Phone
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City
State
Date of birth
How many weeks can you stay OTR?
How much class A OTR experience do you have?
Write any endorsements you have such as hazmat, doubles etc.
Are you interested in dry van, reefer or flatbed position?
Have you had SAP/DUI in the last 5 years?
Do you have anything on your criminal record? (if yes please briefly explain)
Do you have any violations on your driving record?
ex. speedings, change of lane, accidents...
Do you prefer to be paid on w2 or 1099?
I only want to be paid on 1099
I only want to be paid on w2
I am ok with either 1099 or w2 type of pay
I do not know what that means
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Do you have a pessenger or pet that would go with you OTR? (if yes please comment on age- child or adult, 1 or more pets etc)
What are your expectations regarding weekly earnings?
How many miles are you looking to get weekly?
2,000-2,500
2,500-3,000
3,000-3,500
more than 3,500
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Do you have any restrictions? (ex. do not want to go to NY, CA or similar)
Have you ever abandoned a truck?
Do you have any preferences? (ex. must have a volvo or ideally wants volvo, must have manual truck...)
Upload an image of your CDL(front)
front page only
Upload an image of your medical certificate
Short form medical
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